Obstetrics/Gynecology
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Medicaid Reimbursement Change Increases Interbirth Intervals Among Teens
After changing its Medicaid policy to provide reimbursement for immediate postpartum long-acting reversible contraception (LARCs) separate from the global labor and delivery payment, South Carolina saw an increase in immediate postpartum LARC initiation and increased birth spacing among young women.
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ACIP Recommends HPV Vaccination for Older Men and Women
The Advisory Committee on Immunization Practices recently approved use of the 9-valent HPV vaccine for persons ages 27-45 years. The recommendation to expand use of the vaccine comes as findings from a large meta-analysis indicate that the HPV vaccine has substantially reduced infections and precancerous lesions. Providers are encouraged to discuss the potential benefits of HPV vaccination with patients in the mid-age category, addressing the reduced efficacy compared to vaccination within the younger target age range, as well as the reduced risk of high-grade disease and cervical cancer.
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No Substantial Difference in Risk of Acquiring HIV in IUD, Implant, Injection Users
Results from a large, randomized trial among African women found no substantial difference in HIV risk using the copper intrauterine device, the levonorgestrel implant, and the depot medroxyprogesterone acetate injection. The data counter research that suggested a potential association between some types of contraceptives and risk of acquiring HIV.
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Menstrual Cups: Risk for IUD Expulsion?
In this case series from Colorado, seven women experienced IUD expulsion with menstrual cup removal.
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Polycystic Ovary Syndrome: Etiology Likely Heterogeneous?
Rare noncoding variants of the gene DENND1A, previously shown to play a key role in androgen biosynthesis in human ovarian theca cells, are significantly associated with familial polycystic ovary syndrome.
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Maternal Drug-Related Death and Suicide: Leading Causes of Postpartum Death in California
In a recent study, investigators found that drug-related death and suicide were leading causes of postpartum death in California.
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Vaginal Bowel Control System for Nonsurgical Treatment of Fecal Incontinence
The vaginal bowel control device provides a safe, effective, and durable treatment option for women with fecal incontinence.
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Many Teens Do Not Fill ED Prescriptions for STI Treatment
Results from a recent study of U.S. teens ages 13-19 show that when they are prescribed antibiotics for sexually transmitted infections during ED visits, some 60% fail to fill the prescriptions. The findings are a concern for providers, since adolescents represent nearly half of all diagnosed sexually transmitted infections annually.
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The Push Is On to Reduce Pregnancy-Related Deaths
Pregnancy-related death can occur during pregnancy, delivery, and even up to one year after. National health experts are outlining ways to reduce maternal deaths in light of new research indicating that about three out of every five such deaths are preventable.